Initiative Description: Students were allowed to ring a call bell in the cafeteria for public recognition when they chose all of the identified healthiest food and beverage items during lunch service.

Study results: Healthiest food & beverage choices increased 49% with >60% of students.

Reference: Pittman, D. W., Parker, J. S., Getz, B. R., Jackson, C. M., Le, T. A., Riggs, S. B., & Shay, J. M. (2012). Cost-free and sustainable incentive increases healthy eating decisions during elementary school lunch. International Journal of Obesity, 36(1), 76-79.

Level of Evidence:   Good